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The microchip catheter program
for diagnostic applications
in neurosurgery clinics
and practices
AdvancedNeuromonitoring Solutions
2
References: World Neurosurgery 91 133-148 July 2016, http://dx.doi.org/10.1016/j.wneu.2016.03.096, Telemetric Intracranial Pressure Monitoring with the Raumedic NEUROVENT-P-tel, Sebastian Antes, Christoph A. Tschan, Michael Heckelmann, David Breuskin, Joachim Oertel
Clinical Neurology and Neurosurgery 120 (2014) 36-40, Clinical experience with telemetric intracranial pressure monitoring in a Danish neurosurgical center, Alexander Lilja, Morten Andresen, Amer Hadi, Dorthe Christoffersen, Marianne Juhler; Poster (2015) Medstar Washington Hospital Center, Washington, D.C., Raumedic Bolt: Initial clinical experience in a neurosurgical population, MD Rocco Armonda, MD Daniel Felbaum, MD Kyle Mueller, MD Anthony Conte, MD R. Bryan Mason, MD Edward Aulisi;
Childs Nerv Syst (2013), DOI: 10.1007/s00381-013-2324-0, Feasibility of telemetric ICP-guided valve adjustments for complex shunt therapy, Florian Baptist Freimann, M. Schulz, H. Haberl, Ulrich-Wilhelm Thomale;
www.neurosurgery-online.com (2012), Neurosurgery 70: 44-49, DOI: 10.1227/NEU.0b013e31822dda12, First Clinical Results With a New Telemetric Intracranial Pressure-Monitoring System, MD MA Stefan Welschehold, Cand Med Eva Schmalhausen, MD Philippe Dodier, MD Sonja Vulcu, MD PhD Joachim Oertel, MD PhD Wolfgang Wagner, MD Christoph A. Tschan;
Journal of Clinical Neuroscience (2011), DOI:10.1016/j.jocn.2011.04.026, An outcome analysis of two different procedures of burr-hole trephine and external ventricular drainage in acute hydrocephalus, Petra Schödel, Martin Proescholdt, Odo-Winfried Ullrich, Alexander Brawanski, Karl-Michael Schebesch;
www.neurosurgery-online.com (2010), Neurosurgery 67:1716-1723, Evaluation of a Novel Brain Tissue Oxygenation Probe in an Expe-rimental Swine Model, MD Berk Orakcioglu, MD Oliver W. Sakowitz, MD Jan-Oliver Neumann, MD Modar M. Kentar, MD PhD Andreas Unterberg, MD PhD Karl L. Kiening;
Acta Neurochir (2009) DOI 10.1007/s00701-009-0532-x, Brain tissue oxygen monitoring: a study of in vitro accuracy and stability of Neurovent-PTO and Licox sensors, Karlis Purins, Per Enblad, Bo Sandhagen, Anders Lewén;
Acta Neurochir (Wien) (2004) DOI 10.1007/s00701-004-0351-z, Bench test assessment of the new RAUMEDIC Neurovent-P ICP sensor: a technical report by the BrainIT group, G. Citerio, I. Piper, M. Cormio, D. Galli, S. Cazzaniga, P. Enblad, P. Nilsson, C. Contant, and I. Chambers on behalf of the BrainIT Group;
Journal of Neuroscience Methods 139 (2004) 161-165, Accuracy and stability of temperature probes for intracranial application, Beat Alessandri, Bernd M. Hoelper, Robert Behr, Oliver Kempski;
Acta Neurochir (2003) 145: 185-193, DOI 10.1007/s00701-002-1052-0, Clinical evaluation of a new intracranial pressure monitoring device, R. Stendel, J. Heidenreich, A. Schilling, R. Akhavan-Sigari, R. Kurth, T. Picht, T. Pietilä, O. Suess, C. Kern, J. Meisel, and M. Brock
Table of contents
Page
Microchip catheters 3-7
Microchip catheter accessories 8-9
Telemetry 10-11
Oxygen partial pressure measurement 12-13
Accessories for the MPR 1 DATALOGGER and MPR2 logO DATALOGGER 14-15
BOLT KIT and DRILL KIT 16
Tunneling Sleeve 17
Disposable ventricular catheter 18-19
3
Microchip catheters with maximum precisionNEUROVENT®
NEUROVENT precision pressure catheters are used in neurosurgical procedures for the
reliable measurement of:
ICP (intracranial pressure)
ICT (intracranial temperature)
ptiO
2 (oxygen partial pressure)
The multi-modal neuromonitoring performed with the measuring catheter in the field
of neurosurgery enables early recognition of potential cerebral damages.
ICP is measured using semiconductor pressure sensors. The quenching process of fluo-
rescence is used to measure ptiO
2. Consequently, the level and changes in the parame-
ters are measured safely, quickly and accurately.
RAUMEDIC offers a wide range of microchip catheters for parenchymal as well as
ventricular and epidural pressure measurement.
Epidural pressure measurement
Parenchymal pressure measurement
Ventricular pressure measurement
4
NEUROVENT precision pressure catheters are used to perform the following
measurements:
NEUROVENT-P Parenchymal ICP measurement
NEUROVENT-P-TEMP Parenchymal ICP and temperature measurement
NEUROVENT-PTO Parenchymal ICP, temperature and p
tiO
2 measurement
NEUROVENT-TO Parenchymal temperature and p
tiO
2 measurement
Parenchymal
Ventricular
Epidural
NEUROVENT Ventricular ICP measurement and CSF-Drainage
NEUROVENT-TEMP Ventricular ICP and temperature measurement with CSF-Drainage
NEUROVENT-Sleeve Housing Ventricular CSF-Drainage and parenchymal ICP measurement
NEUROVENT VP 16 Ventricular CSF-Drainage and parenchymal ICP measurement, neuro-navigable
NEURODUR Epidural ICP measurement
NEURODUR-TEMP Epidural ICP and temperature measurement
NEUROVENT VP 16
5
RAUMEDIC precision multiparameter catheters prevent measuring errors:
Opening of CSF-Drainage
Closing of CSF-Drainage
slit ventricles
time
30
30 seconds 30 seconds
Figure 1: Pressure measurement with slit ventricles
Figure 2: Comparison catheter Figure 3: NEUROVENT
1) Precise measurement of the pressure
variation (red curve) using RAUMEDIC-
NEUROVENT in comparison with
measurement using a catheter with an
external transducer (blue curve); the
latter reveals failures and incorrect
measurements. Figure 1
2) Opening and closing of a CSF-Drainage:
Measurement using a ventricular catheter
with an external transducer. The jump in
pressure upon opening of the CSF-Drainage
represents an artefact. Figure 2
3) Continuous, artefact-free measuring of
the ICP using RAUMEDIC-NEUROVENT.
Figure 3
Clinical advantages:
Parenchymal pressure, temperature and ptiO
2 measurement in one catheter
Easy handling via Plug & Play system – no catheter calibration required
Direct connection without an intermediate monitor to the patient monitor (Except NEUROVENT-PTO/-PTO 2L and -TO)
Compatible with all standard patient monitors
MR conditional at 1,5 T and 3,0 T1 – no surgical intervention and disposition of the catheter required
Easy monitor change without measurement loss of ICP is possible using zero point simulator (NPS2)
Excellent measurement stability and linearity
Reproducible pressure curve rendition with highly accurate rendering capabilities of fine structures for wave analysis
Range suitable for all applications (parenchymal, ventricular, epidural)
Centimeter scale (numeric every 5 cm and BOLT-mark)
1 Indicated within non-clinical laboratory tests
6
Microchip catheter program
Parenchymal measurements
Product Version Dimension Article number
NEUROVENT-P ICP 5F 092 946-001
NEUROVENT-P-TEMP ICP + temperature 5F 094 268-001
NEUROVENT-PTO ICP + temperature + ptiO
2
delivered with BOLT-DRILL KIT PTO5F 095 008-001
092 380-001
NEUROVENT-PTOTreatment KIT
Catheter + BOLT KIT PTO+ DRILL KIT CH5
5F 096 274-001
NEUROVENT-PTO 2L ICP + temperature + ptiO
25F 095 108-001
NEUROVENT-TO Temperature + ptiO
2
delivered with BOLT-DRILL KIT PTO
3F 095 908-001
092 380-001
NEUROVENT-TO Treatment KIT
Catheter + BOLT KIT PTO+ DRILL KIT CH5
3F 096 284-001
Ventricular measurements
Product Version Dimension Article number
NEUROVENT ICP + drainage, with stylet 9F 092 956-001
NEUROVENT 6F ICP + drainage 6F 094 678-001
NEUROVENT-IFD-S ICP + drainage soft internal guide wire 9F 091 678-001
NEUROVENT-IFD-R ICP + drainage rigid internal guide wire 9F 095 317-001
NEUROVENT-Sleeve Housing (ventricular + parenchymal)
ICP + drainage, with sleeve housing Ventricle drainage, ICP in the parenchyma
9F 091 576-001
NEUROVENT VP 16 (ventricular + parenchymal)
ICP drainage, neuro navigable Ventricle drainage, ICP in the parenchyma
9F 096 704-001
NEUROVENT-TEMP ICP + drainage + temperature, with stylet 9F 094 278-001
NEUROVENT-TEMP-IFD-S ICP + drainage + temperature soft internal guide wire
9F 094 288-001
NEUROVENT-TEMP-IFD-R ICP + drainage + temperature rigid internal guide wire
9F 095 327-001
Epidural measurements
Product Version Dimension Article number
NEURODUR ICP 5,8 x 2,1 mm 092 976-001
NEURODUR-TEMP ICP + temperature 5,8 x 2,1 mm 094 298-001
(measurement head)
(measurement head)
7
Technical data
Pressure measurement range -40 to +400 mmHg (-5,3 to 53 kPa)
Upper cut-off frequency 20,000 Hz (-3 dB)
Catheter material Polyurethane
Measurement range temperature sensor
+25 °C to +45 °C
Pressure sensitivity 5 µV/V/mmHg
Measurement* range ptiO
20-200 mmHg
Electrical catheter length (tip to connector)
- Parenchymal - Ventricular - Epidural
approx. 55 cm approx. 55 cm approx. 55 cm
Zero Drift Pressure
Ø Deviation 0,6 mmHg after 5 days*
* Measurement accuracy ± 2,5 mmHg p
tiO
2 (for < 120 mmHg p
tiO
2)
* Bench test assessment of the new Raumedic Neurovent-P ICP sensor: a technical report by the BrainIT group Citerio G., Piper I., Cormio M., Galli D., Cazzaniga S., Enblad P., Nilsson P., Contant C., and Chambers I., BrainIT Group Acta Neurochirurgica (Wien). 2004, Aug; DOI: 10.1007/s00701-004-0351-z
NEUROVENT-P
NEURODUR
NEUROVENT-IFD-S
8
Accessories for transferring measurement values to the patient monitor
Clinical advantages:
Direct connection to the patient monitor without ICP monitor
Easy handling via Plug & Play system – no calibration required
Easy monitor change without measurement loss of ICP is possible using zero point simulator (NPS2)
Product Description Article number
ICP-TEMP-Cable Connecting cable between ICP catheter and zero point simulator NPS2
094 328-001
ICP-TEMP-Adapter Adapter between zero point simulator NPS2 and patient monitor
094 323-001
ICP-TEMP-Adapter Philips/HP Adapter between zero point simulator NPS2 and patient monitor Philips/HP
094 047-001
NPS2 Siemens/Dräger Infinity Adapter cable to Siemens/Dräger Infinity patient monitor 092 627-001
NPS2 Philips/HP Adapter cable to Philips/HP patient monitor 092 637-001
NPS2 Nihon Kohden BSM 41xx Adapter cable to Nihon Kohden BSM 41xx patient monitor 094 716-001
NPS2 GE/MARQUETTE Adapter cable to GE/MARQUETTE patient monitor 093 807-001
NPS2 SpaceLabs Adapter cable to SpaceLabs patient monitor 091 715-001
NPS2 Fukuda Denshi Adapter cable to Fukuda Denshi patient monitor 096 003-001
Zero point simulator NPS2 for further monitor types upon request
9
Measuring chain from the catheter to the patient monitor
ICP-TEMP-Cable
NPS2Available for all standard monitor types
Patient monitor
10
World‘s unique telemetric ICP measurement NEUROVENT®-P-tel
For parenchymal ICP-Measurement, RAUMEDIC offers the transdermal telemetry system.
The telemetric pressure catheter, NEUROVENT-P-tel, is completely implanted below the
scalp onto the cranial bone, where it measures the ICP and wirelessly transmits the data
through the closed scalp.
Together with the RAUMED Home ICP, the data can be continuously collected at the
patient`s home and daily routine. In the clinical setting, the MPR 1 DATALOGGER is still
available in combination with the Reader TDT1 readP.
Product Description Article number
NEUROVENT-P-tel Parenchymal telemetry catheter 096 504-001
Reader TDT1 readP RFID reader for communication with the telemetry catheter 096 524-001
MPR 1 DATALOGGER Data recording and storage (inpatient sector) 094 474-002
DRILL KIT CH5 Drill bit for NEUROVENT-P-tel 091 878-002
RAUMED Home ICP Data recording and storage (outpatient sector) 096 804-001
Clinical advantages:
Wireless communication with the completely implanted telemetric catheter
Data acquisition using RAUMED Home ICP or MPR 1 DATALOGGER
Continuous intracranial pressure measurement (ICP) over the entire application period
USB data transfer to PC / laptop possible
Use of the telemetric catheter for up to 3 months
11
Reader TDT1 readP
NEUROVENT-P-telNEUROVENT-P-telParenchymal telemetry catheter
5F catheter tube
Overall length of the implant: 30 mm
Ceramic housing
MR conditional at 1,5 T and 3,0 T1
1 Indicated within non-clinical laboratory tests
Reader TDT1 readPRFID reader for communication with the telemetry catheters
Telemetric capture of pressure measurement values
Connection to the RAUMEDIC MPR 1 DATALOGGER
MPR 1 DATALOGGERData recording and storage of pressure measurements for the inpatient sector
Simple and safe operating interface
Display of curve and trend graphs
Analog output and USB interface
Mains / battery operation
RAUMED Home ICPData recording and storage of pressure measurements for the outpatient sector
Mobile acquisition and continuous recording of ICP values
Storage of the data over the application period
Identification of the individual activities
Easy handling
USB interface
Battery operation
RAUMED Home ICP
MPR 1 DATALOGGER
12
Clinical advantages:
Parenchymal pressure, temperature and ptiO
2 measurement in one catheter
Easy handling via Plug & Play system – no calibration required
No oxygen consumption by the O2 sensor
No refrigeration required
Data recording and storage using RAUMEDIC MPR2 logO DATALOGGER
Data display using RAUMEDIC EASY logO
Oxygen partial pressure measurementNEUROVENT®-PTO
Oxygen partial pressure measurement records the available oxygen in the brain tissue.
This ensures possible cerebral damage is quickly detected and appropriate measures for
the avoidance of cerebral ischaemia can be taken.
MPR2 logO DATALOGGER EASY logO
Mains operation yes yes
Rechargeable battery yes no
2 x Analog output yes yes (Transfer of pressure value)
USB interface yes no
Data storage yes no
Curves yes no
Possible display of - ICP yes yes - p
tiO
2 yes yes
- Temperature yes yes - ICPA yes yes - ART yes no - CPP yes no
13
NEUROVENT-PTOOne catheter – Three measurement functions
ICP
Temperature
ptiO
2
NEUROVENT-TO
Catheter for measuring temperature and ptiO
2
NEUROVENT-PTO 2L
Unique catheter for craniotomies which measures
ICP, temperature and ptiO
2 ; besides application with
the BOLT KIT PTO 2L and a microdialysis catheter
BOLT KIT PTO 2L
Two lumen BOLT for safe and functional
implantation of the NEUROVENT-PTO 2L and a
microdialysis catheter
NEUROVENT-TO
NEUROVENT-PTO 2L
NEUROVENT-PTO
Product Version Dimension Article number
NEUROVENT-PTO ICP + temperature + ptiO
2 delivered with
BOLT-DRILL KIT PTO5F 095 008-001
092 380-001
NEUROVENT-PTOTreatment KIT
Catheter + BOLT KIT PTO + DRILL KIT CH5 5F 096 274-001
NEUROVENT-TO Temperature + ptiO
2 delivered with
BOLT-DRILL KIT PTO3F 095 908-001
092 380-001
NEUROVENT-TO Treatment KIT
Catheter + BOLT KIT PTO + DRILL KIT CH5 3F 096 284-001
NEUROVENT-PTO 2L ICP + temperature + ptiO
25F 095 108-001
BOLT KIT PTO 2L only for NEUROVENT-PTO 2L CH9 096 076-001
EASY logO Data display 095 264-002
MPR2 logO DATALOGGER Data recording and storage 095 254-002
BOLT KIT PTO 2L
15
Cables and AccessoriesProduct Description Article number
Cable PTO Connecting cable for transferring pressure and temperature signals to the MPR2 logO DATALOGGER and EASY logO
095 624-001
Cable LWL Fibre optic connecting cable for transferring the oxygen signal to the MPR2 logO DATALOGGER and EASY logO
095 657-001
ICP-TEMP-Cable Connecting cable between ICP catheter and MPR 1/2 094 328-001
ICP-TEMP-Adapter Adapter between ICP-TEMP-Cable and MPR 1/2 284 027-001
Main power adapter EASY logO Power supply 284 017-001
Wide range power adapter MPR 1/2 Power supply 284 027-001
Stand Holder DATALOGGER Pole mounting device 283 957-002
Table Stand DATALOGGER For use as a table mounted device 283 959-002
Shoulder strap DATALOGGER For fastening the MPR 1/2 to the patient 283 960-001
Software DATALOG PC analysis software based on Excel 283 962-001
RAUMED DataView Software for the visualization of measurement data on PC 296 900-001
USB-Cable Connecting cable between MPR 1/2 and a PC/laptop 283 949-001
Product Description Article number
Cable DATALOGGER GE/MARQUETTE Connecting cable between MPR 1/2, EASY logO and GE/MARQUETTE patient monitor
094 858-001
Cable DATALOGGER Philips/HP Connecting cable between MPR 1/2, EASY logO and Philips/HP patient monitor
094 868-002
Cable DATALOGGER Siemens/Dräger Infinity
Connecting cable between MPR 1/2, EASY logO and Siemens/Dräger Infnity patient monitor
094 878-002
Cable DATALOGGER SpaceLabs Connecting cable between MPR 1/2, EASY logO and SpaceLabs patient monitor
094 967-001094 967-002
Cable DATALOGGER Hellige Connecting cable between MPR 1/2, EASY logO and Hellige patient monitor
094 898-001
Cable DATALOGGER Nihon Kohden 41XX
Connecting cable between MPR 1/2, EASY logO and Nihon Kohden patient monitor
095 017-001
Connecting Cables (MPR 1/2, EASY logO to patient monitor)
Product Description Article number
Transducercable DATALOGGER Smith Medical
Connecting cable between MPR 1/2 and disposable transducer (Smith Medical DPT-6100)
094 908-001
Transducercable DATALOGGER Medex MX 960
Connecting cable between MPR 1/2 and disposable transducer (Medex)
095 974-001
Transducercable DATALOGGER pvb xtrans
Connecting cable between MPR 1/2 and disposable transducer (pvb xtrans)
096 494-001
Transducercable DATALOGGER Becton Dickinson
Connecting cable between MPR 1/2 and disposable transducer (BD PMSET 1DT-XX)
096 046-001
Transducercable DATALOGGER Edwards TRUWAVE
Connecting cable between MPR 1/2 and disposable transducer (Edwards TRUWAVE)
096 036-001
Transducer Cables (Transducer to MPR 1/2)
16
Safe and functional fastening of the catheter is achieved
using the BOLT KIT. Other accessories for catheter
application are the RALK-Hand Drill and the DRILL KIT.
RAUMEDIC – BOLT KIT and DRILL KIT
BOLT KIT advantages:
Suitable for all imaging methods
Low BOLT height
Self-cutting thread with sealing function
Product Description Article number
BOLT KIT CH5 For parenchymal catheters 091 868-002
DRILL KIT CH5 For BOLT KIT CH5 091 878-002
BOLT-DRILL KIT CH5 Set for parenchymal catheters 091 888-001
BOLT KIT CH9 For ventricular catheters 091 688-002
DRILL KIT CH9 For BOLT KIT CH9 091 668-002
BOLT-DRILL KIT CH9 Set for ventricular catheters 091 898-001
BOLT KIT PTO Only for NEUROVENT-PTO/-TO 096 026-001
BOLT-DRILL KIT PTO Set for NEUROVENT-PTO/-TO 092 380-001
BOLT-DRILL KIT VP 16 Only for NEUROVENT VP 16 and NEUROVENT-Sleeve Housing
092 969-001
RALK-Hand Drill Autoclavable drill 231 584-002
BOLT CH5
BOLT CH9
RALK-Hand Drill, autoclavable
Screw-in tool
BOLT-DRILL KIT components BOLT KIT components:
1. Polymer screw with seal
2. Fixing cap
3. Dura opener
4. Screw-in tool
1
4
2
3
4
3
2
1
6
5
DRILL KIT components:
5. Drill bit with stopper
6. Allen key
5
6
17
RAUMEDIC – Spliceable Tunneling Sleeve
The Spliceable Tunneling Sleeve is suitable for routing
the RAUMEDIC catheter and is intended for single use
only.
Product Article number
Spliceable Tunneling Sleeve CH8 (for parenchymal catheters)
090 506-002
Spliceable Tunneling Sleeve CH12 (for ventricular catheters and the NEUROVENT-PTO 2L)
090 717-001
Advantages:
Sharpened trocar tip
Chamfered sleeve for low resistance application
Coloured tear-off strip for easy use of the Spliceable Tunneling Sleeve
Spliceable Tunneling Sleeve made of biocompatible, polymer material – in-vitro tested according to DIN EN ISO 10993-1
18
RAUMEDIC – disposable ventricular catheters
The catheters are used for external ventricular drainage (EVD).
VENTRICULAR CATHETER, 1-lumen tunneling version
Including trocar, stylet, Luer connector, butterfly and clamp
Compatible with all standard pressure transducers
Polyurethane catheter 30 cm long
Length scale provided
CSF-Drainage
System for draining and collecting CSF
Accessories Replacement bag and filter for CSF-Drainage
VENTRICULAR CATHETER 1-lumen tunneling version
CSF-Drainage
Smooth surface structure of the RAUMEDIC catheter made of polyurethane
Comparison of material properties of the disposable ventricular catheter
SEM* image of the RAUMEDIC PU ventricular catheters**:
SEM* image of a standard ventricular catheter, typically of silicone
* SEM: scanning electron microscope** PU: Polyurethane
Clinical advantages:
User-friendly application
Easy application using BOLT or Tunneling Sleeve
Immediate liquor checking through transparent catheter tube
Reliable location identification due to titanium ball or X-ray contrast strips
Compatible with all standard pressure transducers
Kink-resistant
1- and 2-lumen catheters also available
Product Version Packaging Article number
Ventricular catheter CH9 / 300 mm tunneling version 10 pcs / pack 870 772-001
CSF-Drainage 15 pcs / pack 095 377-002
Spare bag for CSF-Drainage 10 pcs / pack 095 424-001
Spare filter for CSF-Drainage 10 pcs / pack 095 568-001
Ventricular catheter 1-Lumen CH9 / 300 mm (long) 5 pcs / pack 871 621-002
Ventricular catheter 1-Lumen CH9 / 200 mm (short) 5 pcs / pack 871 871-002
Ventricular catheter 2-Lumen CH9 / 300 mm (long) 5 pcs / pack 871 631-001
Ventricular catheter 2-Lumen CH9 / 200 mm (short) 5 pcs / pack 871 881-001
19
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Service Worldwide!
RAUMEDIC Brain Competence
RAUMEDIC AG
Hermann-Staudinger-Str. 2
95233 Helmbrechts
Germany
Tel: +49 (0) 92 52 359-0
Fax: +49 (0) 92 52 359-51 3333
www.raumedic.com/neuromonitoring